11 Burn Injury Nursing Care Plans

A burn injury is damage to your body’s tissues caused by heat, chemicals, electricity, sunlight or radiation. Scalds from hot liquids and steam, building fires and flammable liquids and gases are the most common causes of burns.

A major burn is a catastrophic injury, requiring painful treatment and long period of rehabilitation. It’s commonly fatal or permanently disfiguring and incapacitating (both emotionally and physically).

Nursing Care Plans

Nursing care involves immediate and aggressive burn treatment. Supportive measures and strict sterile technique should be implemented to minimize infection.

Here are 11 burn injury (burnsnursing care plans (NCP)

  1. Impaired Physical Mobility
  2. Deficient Knowledge
  3. Disturbed Body Image
  4. Fear/Anxiety
  5. Impaired Skin Integrity
  6. Imbalanced Nutrition: Less Than Body Requirements
  7. Risk for Ineffective Tissue Perfusion
  8. Acute Pain
  9. Risk for Infection
  10. Risk for Deficient Fluid Volume
  11. Risk for Ineffective Airway Clearance
  12. Other Possible Nursing Care Plans
  13. See Also and Further Reading
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Impaired Physical Mobility: Limitation in independent, purposeful physical movement of the body or of one or more extremities.

May be related to

  • Neuromuscular impairment, pain/discomfort, decreased strength and endurance
  • Restrictive therapies, limb immobilization; contractures

Possibly evidenced by

  • Reluctance to move/inability to purposefully move
  • Limited ROM, decreased muscle strength control and/or mass

Desired Outcomes

  • Maintain position of function as evidenced by absence of contractures.
  • Maintain or increase strength and function of affected and/or compensatory body part.
  • Verbalize and demonstrate willingness to participate in activities.
  • Demonstrate techniques/behaviors that enable resumption of activities.
Nursing Interventions Rationale
Maintain proper body alignment with supports or splints, especially for burns over joints. Promotes functional positioning of extremities and prevents contractures, which are more likely over joints.
Note circulation, motion, and sensation of digits frequently. Edema may compromise circulation to extremities, potentiating tissue necrosis and development of contractures.
Initiate the rehabilitative phase on admission. It is easier to enlist participation when patient is aware of the possibilities that exist for recovery.
Perform ROM exercises consistently, initially passive, then active. Prevents progressively tightening scar tissue and contractures; enhances maintenance of muscle and joint functioning and reduces loss of calcium from the bone.
Medicate for pain before activity or exercise. Reduces muscle and tissue stiffness and tension, enabling patient to be more active and facilitating participation.
Schedule treatments and care activities to provide periods of uninterrupted rest. Increases patient’s strength and tolerance for activity.
Encourage family/SO support and assistance with ROM exercises. Enables family/SO to be active in patient care and provides more consistent therapy.
Incorporate ADLs with physical therapy, hydrotherapy, and nursing care. Combining activities produces improved results by enhancing effects of each.
Encourage patient participation in all activities as individually able. Promotes independence, enhances self-esteem, and facilitates recovery process.
Incorporate ADLs with physical therapy, hydrotherapy, and nursing care. Combining activities produces improved results by enhancing effects of each.
Encourage patient participation in all activities as individually able. Promotes independence, enhances self-esteem, and facilitates recovery process.
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